WO2018029561A1 - Anti-retroviral compositions - Google Patents

Anti-retroviral compositions Download PDF

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Publication number
WO2018029561A1
WO2018029561A1 PCT/IB2017/054571 IB2017054571W WO2018029561A1 WO 2018029561 A1 WO2018029561 A1 WO 2018029561A1 IB 2017054571 W IB2017054571 W IB 2017054571W WO 2018029561 A1 WO2018029561 A1 WO 2018029561A1
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Prior art keywords
mg
darunavir
dolutegravir
ritonavir
tablet
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PCT/IB2017/054571
Other languages
French (fr)
Inventor
Parthasarathi Reddy BANDI
Khadgapathi Podile
Sunil Deviprasad Tiwari
Prakash SHETIYA
Balakrishnaiah MEDUM
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Hetero Labs Limited
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Priority to IN201641026997 priority Critical
Priority to ININ201641026997 priority
Application filed by Hetero Labs Limited filed Critical Hetero Labs Limited
Publication of WO2018029561A1 publication Critical patent/WO2018029561A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL, OR TOILET PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2072Pills, tablets, discs, rods characterised by shape, structure or size; Tablets with holes, special break lines or identification marks; Partially coated tablets; Disintegrating flat shaped forms
    • A61K9/2086Layered tablets, e.g. bilayer tablets; Tablets of the type inert core-active coat
    • A61K9/209Layered tablets, e.g. bilayer tablets; Tablets of the type inert core-active coat containing drug in at least two layers or in the core and in at least one outer layer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J3/00Devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms
    • A61J3/10Devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms into the form of compressed tablets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL, OR TOILET PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/34Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having five-membered rings with one oxygen as the only ring hetero atom, e.g. isosorbide
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL, OR TOILET PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine, rifamycins
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine, rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/425Thiazoles
    • A61K31/427Thiazoles not condensed and containing further heterocyclic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL, OR TOILET PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine, rifamycins
    • A61K31/535Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine, rifamycins having six-membered rings with at least one nitrogen and one oxygen as the ring hetero atoms, e.g. 1,2-oxazines
    • A61K31/5365Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine, rifamycins having six-membered rings with at least one nitrogen and one oxygen as the ring hetero atoms, e.g. 1,2-oxazines ortho- or peri-condensed with heterocyclic ring systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL, OR TOILET PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine, rifamycins
    • A61K31/535Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine, rifamycins having six-membered rings with at least one nitrogen and one oxygen as the ring hetero atoms, e.g. 1,2-oxazines
    • A61K31/53751,4-Oxazines, e.g. morpholine
    • A61K31/53831,4-Oxazines, e.g. morpholine ortho- or peri-condensed with heterocyclic ring systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL, OR TOILET PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/63Compounds containing para-N-benzenesulfonyl-N-groups, e.g. sulfanilamide, p-nitrobenzenesulfonyl hydrazide
    • A61K31/635Compounds containing para-N-benzenesulfonyl-N-groups, e.g. sulfanilamide, p-nitrobenzenesulfonyl hydrazide having a heterocyclic ring, e.g. sulfasalazine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL, OR TOILET PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL, OR TOILET PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2072Pills, tablets, discs, rods characterised by shape, structure or size; Tablets with holes, special break lines or identification marks; Partially coated tablets; Disintegrating flat shaped forms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL, OR TOILET PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2072Pills, tablets, discs, rods characterised by shape, structure or size; Tablets with holes, special break lines or identification marks; Partially coated tablets; Disintegrating flat shaped forms
    • A61K9/2077Tablets comprising drug-containing microparticles in a substantial amount of supporting matrix; Multiparticulate tablets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL, OR TOILET PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2095Tabletting processes; Dosage units made by direct compression of powders or specially processed granules, by eliminating solvents, by melt-extrusion, by injection molding, by 3D printing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL, OR TOILET PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/48Preparations in capsules, e.g. of gelatin, of chocolate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals
    • A61P31/14Antivirals for RNA viruses
    • A61P31/18Antivirals for RNA viruses for HIV

Abstract

The present invention relates to pharmaceutical antiretroviral compositions comprising a combination of antiretroviral agents (darunavir, dolutegravir and ritonavir), the manufacturing process thereof and use of the said compositions for the prevention, treatment or prophylaxis of HIV infection.

Description

TITLE OF THE INVENTION

ANTI-RETRO VIRAL COMPOSITIONS

PRIORITY This patent application claims priority to Indian patent application number IN

201641026997, filed on August 08, 2016, the contents of which are incorporated by reference herein in their entirety.

FIELD OF THE INVENTION The present invention relates to pharmaceutical antiretroviral compositions comprising a combination of antiretroviral agents with the manufacturing process thereof and use of the said compositions for the prevention, treatment or prophylaxis of diseases caused by retro viruses, specifically acquired immune deficiency syndrome or an HIV infection.

BACKGROUND OF THE INVENTION Acquired Immune Deficiency Syndrome (AIDS) causes a gradual breakdown of the body's immune system as well as progressive deterioration of the central and peripheral nervous systems. Since its initial recognition in the early 1980's, AIDS has spread rapidly and has now reached epidemic proportions within a relatively limited segment of the population. Intensive research has led to the discovery of the responsible agent, human T-lymphotropic retrovirus 111 (HTLV-111), now more commonly referred to as the human immunodeficiency viruses or HIV.

The treatment of HIV infection, known as cause of the acquired immunodeficiency syndrome (AIDS), remains a major medical challenge. HIV is able to evade immunological pressure, to adapt to a variety of cell types and growth conditions and to develop resistance against currently available drug therapies. Various available categories of drugs for treating HIV are nucleoside reverse transcriptase inhibitors (NRTIs), non-nucleoside reverse transcriptase inhibitors (NNRTIs), nucleotide reverse transcriptase inhibitors (NtRTIs), HIV-protease inhibitors, fusion inhibitors, CCR5 inhibitors and integrase inhibitors. Although effective in suppressing HIV, each of these drugs, when used alone, is confronted with the emergence of resistant mutants. This led to the introduction of combination therapy of several anti-HIV agents usually having a different activity profile. In particular the introduction of "HAART" (Highly Active Anti-Retro viral Therapy) resulted in a remarkable improvement in anti-HIV therapy, leading to a large reduction in HIV-associated mortality. Even HAART may face the emergence of resistance, often due to non-adherence and non- persistence with antiretroviral therapy. In these cases HAART can be made effective again by replacing one of its components by one of another class. If applied correctly, treatment with HAART combinations can suppress the virus for many years, up to decades, to a level where it no longer can cause the outbreak of AIDS.

Combinations of anti-retrovirals create multiple obstacles to HIV replication to keep the number of offspring low and reduce the possibility of a superior mutation. If a mutation that conveys resistance to one of the drugs being taken arises, the other drugs continue to suppress reproduction of that mutation. Combination therapies greatly increase the ease with which they can be taken, which in turn increases the consistency with which medication is taken and thus their effectiveness over the long-term. Because of the complexity of selecting and following a regimen and the potential for side effects there lies an importance of taking medications regularly to prevent viral resistance.

The complex dosing regimens of HAART or other dosing regimens can be simplified by the application of combination dosage forms comprising two or more anti-HIV components. These could take the form of fixed dose combinations, e.g. compositions comprising predetermined doses of two or more anti-HIV agents. Most HIV inhibitors however need to be administered at relatively high doses so that often two or more doses need to be administered in order to reach the required therapeutic efficacy. Currently available antiretroviral drugs for the treatment of HIV include nucleoside reverse transcriptase inhibitors (NRTI) or approved single pill combinations: Zidovudine or AZT (Retrovir®), didanosine or DDI (Videx®), stavudine or D4T (Zenith®), lamivudine or 3TC (Epivir®), zalcitabine or DDC (Hivid®), abacavir sulphate (Ziagen®), tenofovir disoproxil fumarate salt (Viread®), emtricitabine (Emtriva®), Combivir® (contains 3TC and AZT), Trizivir® (contains abacavir, 3TC and AZT); non-nucleoside reverse transcriptase inhibitors (NNRTI): nevirapine (Viramune®), delavirdine (Rescriptor®) and efavirenz (Sustiva®), peptidomimetic protease inhibitors or approved formulations: saquinavir (Invirase®, Fortovase®), indinavir (Crixivan®), ritonavir (Norvir®), nelfinavir (Viracept®), amprenavir (Agenerase®), atazanavir (Reyataz®), fosamprenavir (Lexiva®), Kaletra® (contains lopinavir and ritonavir), one fusion inhibitor enfuvirtide (T-20, Fuzeon®), Truvada® (contains Tenofovir disoproxil fumarate and Emtricitabine) and Atripla® (contains fixed-dose triple combination of tenofovir disoproxil fumarate, emtricitabine and efavirenz).

The current strategy recommended for the treatment of HIV infection is Highly Active Antiretroviral Therapy (HAART). HAART normally consists of a combination of two or more antiretroviral drugs (ARV) taken together in a single dosage form. Accordingly, inventors of the present invention have developed combination compositions having three antiretroviral drugs (ARV) taken together in a single dosage form with improved patient compliance.

Darunavir (TMC114) is a protease inhibitor approved in US and other countries, available under the trade name Prezista® in the form of darunavir ethanolate. It is chemically described as [(lS,2R)-3-[[(4-aminophenyl)sulfonyl](2-methylpropyl)amino]-2-hydroxy- l(phenylmethyl)propyl]-carbamic acid (3R,3aS,6aR)-hexahydrofuro[2,3-b]furan-3-yl ester monoethanolate .

Darunavir ethanolate is commercially available in US as 75 mg, 150 mg, 300 mg, 400 mg, 600 mg & 800 mg equivalent to base tablets and as equivalent to 100 mg base/ml oral suspension.

US Patent No. 5,843,946 & 7,700,645 discloses darunavir substance and its solvates including ethanolate.

PCT Publication No. 2009/013356 discloses darunavir tablet composition comprising 600 mg of darunavir as an active ingredient having a total weight of 1250 mg prepared by direct compression.

Dolutegravir sodium (DTG, GSK1349572) is an integrase inhibitor for the treatment of HIV infection. It is chemically described as (4R,12aS)-9-{ [(2,4-difluorophenyl) methyl] carbamoyl} -4-methyl-6,8-dioxo-3, 4,6,8, 12, 12a-hexahydro-2H-pyrido[l',2':4,5]pyrazino [2, l-b][l,3]oxazin-7-olate sodium. It commercially available in US as lOmg, 25mg and 50mg equivalent to base tablets under the brand name TIVICAY®.

US Patent No. 8, 129,385 discloses dolutegravir substance.

Ritonavir is protease inhibitor for the treatment of HIV infection. It is chemically described as 10-Hydroxy-2-methyl-5-(l-methylethyl)-l- [2-(l-methylethyl)-4-thiazolyl]-3,6- dioxo-8,1 l-bis(phenylmethyl)-2,4,7,12-tetraazatridecan-13-oic acid, 5-thiazolylmethyl ester, [5S-(5R* 8R* 10R* 11R*)].

Ritonavir is marketed under the trade name Norvir® in the United States in the form of tablets, oral solution and capsules. It is commercially available in US as 100 mg tablets and as equivalent to 80 mg base/ml oral solution.

US Patent No. 5,541,206 discloses ritonavir substance.

Inventors of the present invention have developed a solid dosage form comprising novel combination of darunavir, dolutegravir and ritonavir (combination therapy) used for treating HIV, helps in preventing drug resistance. Also provides the dosage form with acceptable size, easy to swallow and reduced dosing frequency. Hence, present dosage form is beneficial in terms of pill burden and increase the patient compliance.

SUMMARY OF THE INVENTION

The present invention relates to pharmaceutical tablet composition. In particular, the present invention relates to solid oral composition, comprising combination of anti-retro virals particularly, darunavir, dolutegravir and ritonavir and process of manufacturing the same.

The object of the present invention is to provide a pharmaceutical antiretroviral composition comprising darunavir, dolutegravir and ritonavir, in the form of a single unit dosage form.

One embodiment of the present invention relates to bilayered tablet composition comprising darunavir, dolutegravir and ritonavir and one or more pharmaceutically acceptable excipients. Another embodiment of the present invention relates to a tablet composition comprising (i) Darunavir or a pharmaceutically acceptable solvate thereof, (ii) dolutegravir or a pharmaceutically acceptable salt thereof and (iii) ritonavir and one or more pharmaceutically acceptable excipients. Another embodiment of the present invention relates to a tablet composition comprising darunavir or a pharmaceutically acceptable solvate thereof and dolutegravir or a pharmaceutically acceptable salt thereof with one or more pharmaceutically acceptable excipients.

Another embodiment of the present invention relates to a bilayered tablet composition comprising: a) Darunavir or its pharmaceutically acceptable solvate thereof, b) Dolutegravir or its pharmaceutically acceptable salt thereof, c) Ritonavir, d) one or more pharmaceutically acceptable excipients; wherein weight of the first part ranges from 1050 mg - 1250 mg, weight of the second part ranges from 600 mg - 750 mg, wherein total weight of the tablet ranges from 1650 mg - 2000 mg. One another embodiment of the present invention relates to a tablet composition comprising darunavir, dolutegravir, ritonavir and one or more pharmaceutically acceptable excipients; wherein weight of the first part ranges from 1050 mg - 1250 mg, characterized by bulk density of 0.45 - 0.7 gm/cm and weight of the second part ranges from 600 mg - 750 mg, characterized by bulk density of 0.5 - 0.7 gm/cm One other embodiment of the present invention relates to a tablet composition comprising first part and second part, wherein first part comprising combination of darunavir and dolutegravir and second part comprising ritonavir, wherein weight of the first part ranges from 1050 mg - 1250 mg, characterized by bulk density of 0.45 - 0.7 gm/cm and weight of the second part ranges from 600 mg - 750 mg, characterized by bulk density of 0.5 - 0.7 gm/cm , wherein total weight of the tablet ranges from 1650 mg - 2000 mg.

By "total weight of the tablet" is meant the weight of a tablet including the first and the second parts without coating. One other embodiment of the present invention relates to a tablet composition comprising first part and second part, wherein first part and second part are in the form of powder or granules.

One other embodiment of the present invention relates to a caplet dosage form comprising darunavir, dolutegravir, ritonavir and one or more excipients, wherein caplet is having a length of 15 to 22 mm, width of 7 to 11 mm and thickness 8.0 to 9.5 mm.

One other embodiment of the present invention relates to a caplet dosage form comprising 800 mg of darunavir, 50 mg of dolutegravir, 100 mg of ritonavir and one or more excipients, wherein caplet is having 8.0 to 9.5 mm thickness. One other embodiment of the present invention relates to a caplet dosage form comprising darunavir, dolutegravir, ritonavir and one or more excipients, wherein caplet is having a length of 18 to 22 mm, width of 8 to 11 mm and thickness 8.0 to 9.5 mm.

One other embodiment of the present invention relates to tablet composition comprising darunavir, dolutegravir and ritonavir and one or more pharmaceutically acceptable excipients for once daily administration.

In yet another embodiment, the present invention is related to pharmaceutical unit dosage form comprising a) 300 mg to 800 mg of darunavir, b) 50 mg of dolutegravir, c) 100 mg of ritonavir and d) one or more pharmaceutically acceptable excipients.

In further embodiment, the present invention relates to the method of treating HIV or AIDS comprising administering a therapeutically effective amount of the tablet composition of the present invention.

DETAILED DESCRIPTION OF THE INVENTION

The present invention relates to tablet composition comprising combination of anti-retro virals particularly, darunavir, dolutegravir and ritonavir and process of manufacturing the same. One embodiment of the present invention relates to pharmaceutical tablet comprising darunavir, dolutegravir and ritonavir with one or more pharmaceutically acceptable excipients thereof. The term "active agent" as used herein according to the present invention refers to "darunavir", "dolutegravir" and "ritonavir".

The term "darunavir" as used herein according to the present invention includes darunavir in the form of free base or a pharmaceutically acceptable solvates or salts or its hydrates, preferably darunavir ethanolate.

The term "dolutegravir" as used herein according to the present invention includes dolutegravir in the form of free base or a pharmaceutically acceptable salt or solvate thereof. Preferably, dolutegravir sodium.

The term "bulk density" as used herein according to the present invention is bulk density of a powder or granules and is the ratio of the mass of an untapped powder or granules sample and its volume including the contribution of the interparticulate void volume. Hence, the bulk density depends on both the density of powder or granules and the spatial arrangement of particles in the powder or granular bed. The bulk density is expressed in grams per milliliter (g/ml) although the international unit is kilogram per cubic metre (lg/ml=1000kg/m ) because the measurements are made using cylinders. It may also be expressed in grams per cubic centimeter (g/cm ).

The bulk density of a powder is determined by measuring the volume of a known mass of powder sample, that may have been passed through a sieve, into a graduated cylinder (Method A), or by measuring the mass of a known volume of powder that has been passed through a volumeter into a cup (Method B) or a measuring vessel (Method C).

Important physicochemical characteristics of powders are the density properties such as bulk and tapped density, weight variation and flow properties such as angle of repose. Bulk density is the undisturbed packing density of that substance and tapped density relates to the packing density after tapping a bed of substance until no change in the packing density is seen. Bulk density and tapped density, can be determined using compendial bulk density apparatus, such as the method given in Test 616 "Bulk Density and Tapped Density," United States Pharmacopeia 39, United States Pharmacopeial Convention, Inc., Rockville, Md., 2005 ("USP"). The bulk density is measured in a graduated cylinder according to the European Pharmacopeia. Bulk density determination: For the determination of bulk density of granules, the method suggested by Butler, Ransey and Martin was used. A sample of about 500cc of the sized granules carefully introduced into a lOOcc graduated cylinder. The cylinder was then dropped onto a hard wood surface (table top) three times from a height of about one inch approximately two second intervals. Bulk density was then determined by dividing the weight of the sample of granules in grams by the final volume in cc. of the sample contained in the cylinder.

As used in this specification and the appended claims, the singular forms "a", "an", and "the" include plural references unless the context clearly dictates otherwise. Thus for example, reference to "a method" includes one or more methods, and/or steps of the type described herein and/or which will become apparent to those persons skilled in the art upon reading this disclosure so forth.

The term "excipient" means a pharmacologically inactive component such as a diluent, a binder, a disintegrant, a glidant, a lubricant, etc of a pharmaceutical product. The excipients that are useful in preparing a pharmaceutical composition are generally safe, non-toxic and are acceptable for human pharmaceutical use. Reference to an excipient includes both one and more than one such excipients.

The term "solid dosage form" or "dosage form" or "unitary composition" or "unit dosage form" or "composition" or "formulation" or "tablet" or "caplet" as used herein refers to a solid dosage form suitable for oral administration, such as tablets including layered tablets, capsules, mini-tablets, spheroids, pellets, granules, pills and the like meant for oral administration.

The term "part" also used herein synonymously as "compartment" or "layer".

By the term "core" is meant the granulate phase including the active agents and excipients.

By "total weight of the tablet" is meant the weight of a tablet including the first and the second parts without coating.

The term "immediate release" as used herein refers to a dosage form that disintegrates and dissolves rapidly to release the actives. Suitably, the pharmaceutical antiretroviral composition according to the present invention is presented in the solid dosage form suitable for oral administration. However, other dosage forms, such as liquid dosage forms and the like, may be envisaged under the ambit of the present invention.

Unit dosage form, according to the present invention, are preferably in the form of a tablet (disintegrating tablet, dissolving tablet, dispersible tablet, mouth dissolving tablets, tablet for oral suspension, immediate release tablets, extended release tablet, immediate and extended release tablets, matrix tablets), mini-tablet, granules, sprinkles (filled with powders, powders for reconstitution; beads; pellets; mini-tablets; film coated tablets; film coated tablets MUPS (multiple unit pellet system); orally disintegrating MUPS; pills; micro-pellets; small tablet units; MUPS; granules; effervescent granules; microspheres) or capsule (filled with powders, powder for reconstitution; beads; pellets; mini-tablets; film coated tablets; film coated tablets MUPS; orally disintegrating MUPS; pills; micro-pellets; small tablet units; MUPS; disintegrating tablets; dispersible tablets; granules; effervescent granules; microspheres), liquids such as suspension, emulsion, solution, syrup, elixir however, other dosage forms may also fall within the scope of this invention.

Preferably, the pharmaceutical antiretroviral composition, according to the present invention, is in the form of solid unit dosage forms including tablets and capsules, preferably in the form of immediate release tablets.

Another embodiment of the present invention relates to a tablet composition comprising darunavir or a pharmaceutically acceptable solvate thereof and dolutegravir or a pharmaceutically acceptable salt thereof with one or more pharmaceutically acceptable excipients.

The composition of the present invention includes a high dose of darunavir, dolutegravir, ritonavir and excipients having a specific bulk density. The composition is dimensioned to form a caplet. The caplets may be prepared such that the length should not exceed 22 mm, width should not exceed 11 mm and thickness should not exceed 9 mm.

The said caplet is having different shapes like oblong shape, oval shape, modified capsule shape etc. One embodiment of the present invention relates to pharmaceutical tablet composition comprising darunavir, dolutegravir and ritonavir with one or more pharmaceutically acceptable excipients in the form of tablet, wherein, darunavir and dolutegravir is present in first part and ritonavir is present in the second part. One other embodiment of the present invention relates to pharmaceutical tablet composition comprising darunavir, dolutegravir and ritonavir with one or more pharmaceutically acceptable excipients in the form of bilayered tablet, wherein, darunavir and dolutegravir is present in first part and ritonavir is present in the second part, wherein weight of the first part ranges from 1050 mg - 1250 mg, characterized by bulk density of 0.45 - 0.7 gm/cm and weight of the second part ranges from 600 mg - 750 mg, characterized by bulk density of 0.5 - 0.7 gm/cm , wherein total weight of the tablet ranges from 1650 mg - 2000 mg.

One other embodiment of the present invention relates to a tablet composition comprising first part and second part, wherein first part and second part are in the form of powder or granules. One other embodiment of the present invention relates to a caplet dosage form comprising darunavir, dolutegravir, ritonavir and one or more excipients, wherein caplet having a length of 15 to 22 mm, width of 7 to 11 mm and thickness of 8.0 to 9.5 mm.

One other embodiment of the present invention relates to a caplet dosage form comprising darunavir, dolutegravir, ritonavir and one or more excipients, wherein caplet is having a length of 18 to 22 mm, width of 8 to 11 mm and thickness 8.0 to 9.5 mm.

One other embodiment of the present invention relates to a caplet comprising 800 mg of darunavir, 50 mg of dolutegravir and 100 mg of ritonavir with one or more pharmaceutically acceptable excipients, wherein caplet is having 8.0 to 9.5 mm in thickness.

Further embodiment of the present invention relates to pharmaceutical tablet composition comprising a) 300 mg to 800 mg of darunavir, b) 50 mg of dolutegravir, c) 100 mg of ritonavir and d) one or more pharmaceutically acceptable excipients.

One or more pharmaceutically acceptable excipients of the present invention include diluents, binders, disintegrants, glidants, lubricants and the like. Diluents include but are not limited to microcrystalline cellulose, powdered cellulose, lactose anhydrous, lactose monohydrate, dibasic calcium phosphate, tribasic calcium phosphate, starch, pregelatinized starch, calcium carbonate, calcium sulfate, magnesium carbonate, magnesium oxide, sucrose, dextrates, dextrin, dextrose, maltodextrin, mannitol, xylitol and sorbitol, and the like and combinations thereof.

Binders include but are not limited to hydroxypropyl cellulose, hydroxypropyl methylcellulose, polyvinyl pyrrolidone, pregelatinized starch, powdered acacia, gelatin, guar gum, carbomers and the like and combinations thereof.

Disintegrants include but are not limited to croscarmellose sodium, sodium starch glycolate, crospovidone, polacrillin potassium, carboxymethyl cellulose calcium, starches such as corn starch, potato starch, pregelatinized starch and modified starches, clays, bentonite and the like or combinations thereof.

Glidants include but are not limited to colloidal silicon dioxide, other forms of silicon dioxide, such as aggregated silicates and hydrated silica, magnesium silicate, magnesium trisilicate, talc, and the like and combinations thereof.

Lubricants include but are not limited to talc, magnesium stearate, calcium stearate, zinc stearate, stearic acid, palmitic acid, sodium stearyl fumarate, carnauba wax, hydrogenated vegetable oils, mineral oil, polyethylene glycols, and the like and combinations thereof.

The pharmaceutical antiretroviral composition, according to the present invention, may be prepared through various processes known in the art which includes, but are not limited to direct compression, wet granulation, dry granulation, melt granulation, melt extrusion, spray drying, solution evaporation or combinations thereof.

Pharmaceutical compositions of the present invention are prepared by either granulation techniques or direct compression. Preferably, first layer is prepared by granulation process and second layer is prepared by melt extrusion process.

Another aspect of the present invention relates to the tablet composition comprising darunavir, dolutegravir and ritonavir and one or more pharmaceutically acceptable excipients for once daily administration. Even though such once-daily therapies represent a significant advantage, it would be highly desirable to faster the ease of administration, reduce dosing frequency and help ensure patient compliance with such once daily therapies in the form of a tablet dosage form.

In yet another embodiment, the present invention relates to method of treating HIV or AIDS comprising administering a therapeutically effective amount of the composition of the present invention.

Certain specific aspects and embodiments of this invention are described in further detail by the examples below, which are provided only for the purpose of illustration and are not intended to limit the scope of the invention in any manner.

Examples

EXAMPLE 1; Darunavir, Dolutegravir and Ritonavir Bilayered Tablet

Ingredients mg/tab

DARUNAVIR + DOLUTEGRAVIR LAYER

Darunavir Ethanolate 867.296

Dolutegravir sodium 52.622

Mannitol 54.982

Sodium starch glycolate 32.000

Povidone 42.500

Purified Water Qs

Lubrication

Sodium stearyl fumarate 10.600

Layer Weight 1060.000

RITONAVIR LAYER

Ritonavir 100.000

Copovidone 350.000

Colloidal silicon dioxide 1.000

Sorbitan monolaurate 45.000 Prelubrication

Dibasic calcium phosphate anhydrous 15.500

Colloidal silicon dioxide 1.000

Lubrication

Sodium stearyl fumarate 5.500

Layer Weight 518.000

Core Tablet weight 1578.000

Film coated tablet weight 1625.340

Brief manufacturing process:

Preparation of Darunavir + Dolutegravir layer: a) Sifting darunavir, dolutegravir, mannitol and sodium starch glycolate and then loading into rapid mixer granulator and mixing for 10 minutes,

b) dissolving povidone in purified water and adding to the blend of step a) and kneading the wet mass, followed by drying, sifting to get the desired size granules,

c) sifting sodium stearyl fumarate,

d) mixing granules of step b) with sodium stearyl fumarate of step c) in blender; Preparation of Ritonavir layer: a) Sifting ritonavir, copovidone and colloidal silicon dioxide and

b) adding sorbitan monolaurate to step a) and passing the material through hot melt extruder and collect the extrudes,

c) sifting dibasic calcium phosphate anhydrous and colloidal silicon dioxide and adding the material to step b) and blending for 10 minutes,

d) sifting sodium stearyl fumarate and adding to material of step c) and blending for 5 minutes;

Compression of bilayered tablets: Compressing the above blends of darunavir + dolutegravir in one layer and ritonavir in another layer into bilayered tablets, followed by film-coating.

Bulk Density:

Figure imgf000015_0001
Thickness: 7.5 ± 0.1 (of tablet)

Dissolution profile:

Figure imgf000015_0002

EXAMPLE 2: Darunavir, Dolutegravir and Ritonavir Bilayered Tablet

Ingredients mg/tab

DARUNAVIR + DOLUTEGRAVIR LAYER

Darunavir Ethanolate 867.296

Dolutegravir sodium 52.622

Mannitol 54.982

Sodium starch glycolate 32.000

Povidone 42.500

Purified Water Qs

Lubrication

Sodium stearyl fumarate 10.600

Layer Weight 1060.000

RITONAVIR LAYER

Ritonavir 100.000

Copovidone 458.810

Colloidal silicon dioxide 0.540 Sorbitan monolaurate 42.000

Prelubrication

Dibasic calcium phosphate anhydrous 74.750

Colloidal silicon dioxide 0.750

Lubrication

Sodium stearyl fumarate 6.150

Layer Weight 683.000

Core Tablet weight 1743.000

Film coated tablet weight 1795.290

Brief manufacturing process:

Preparation of Darunavir + Dolutegravir layer: a) Sifting darunavir, dolutegravir, mannitol and sodium starch glycolate and then loading into rapid mixer granulator and mixing for 10 minutes,

b) dissolving povidone in purified water and adding to the blend of step a) and kneading the wet mass, followed by drying, sifting to get the desired size granules,

c) sifting sodium stearyl fumarate,

d) mixing granules of step b) with sodium stearyl fumarate of step c) in blender Preparation of Ritonavir layer: a) Sifting ritonavir, copovidone and colloidal silicon dioxide and

b) adding sorbitan monolaurate to step a) and passing the material through hot melt extruder and collect the extrudes,

c) sifting dibasic calcium phosphate anhydrous and colloidal silicon dioxide and adding the material to step b) and blending for 10 minutes,

d) sifting sodium stearyl fumarate and adding to material of step c) and blending for 5 minutes;

Compression of bilavered tablets:

Compress the above blends of darunavir + dolutegravir in one layer and ritonavir in another layer into bilayered tablets, followed by film-coating. Bulk Density:

Figure imgf000017_0001

Thickness: 9.2 ± 0.1 (of tablet)

Dissolution profile:

Figure imgf000017_0002

EXAMPLE 3: Darunavir, Dolutegravir and Ritonavir Bilayered Tablet

Ingredients mg/tab

DARUNAVIR + DOLUTEGRAVIR LAYER

Darunavir Ethanolate 867.296

Dolutegravir sodium 52.622

Microcrystalline cellulose 54.982

Sodium starch glycolate 32.000

Hydroxypropyl cellulose 42.500

Purified Water Qs

Lubrication

Sodium stearyl fumarate 10.600

Layer Weight 1060.000

RITONAVIR LAYER

Ritonavir 100.000

Copovidone 430.000

Colloidal silicon dioxide 1.000 Sorbitan monolaurate 36.000

Prelubrication

Dibasic calcium phosphate anhydrous 40.000

Colloidal silicon dioxide 3.000

Lubrication

Sodium stearyl fumarate 5.500

Layer Weight 615.500

Core Tab weight 1675.500

Film Coated tablet weight 1725.765

Brief manufacturing process:

Preparation of Darunavir + Dolutegravir layer: a) Sifting darunavir, dolutegravir, microcrystalline cellulose, sodium starch glycolate and then loading into rapid mixer granulator and mixing for 10 minutes,

b) dissolving hydroxypropyl cellulose in purified water and adding to the blend of step a) and kneading the wet mass, followed by drying, sifting to get the desired size granules, c) sifting sodium stearyl fumarate,

d) mixing granules of step b) with sodium stearyl fumarate of step c) in blender Preparation of Ritonavir layer: a) Sifting ritonavir, copovidone and colloidal silicon dioxide and

b) adding sorbitan monolaurate to step a) and passing the material through hot melt extruder and collect the extrudes,

c) sifting dibasic calcium phosphate anhydrous and colloidal silicon dioxide and adding the material to step b) and blending for 10 minutes,

d) sifting sodium stearyl fumarate and adding to material of step c) and blending for 5 minutes;

Compression of bilayered tablets: Compress the above blends of darunavir + dolutegravir in one layer and ritonavir in another layer into bilayered tablets, followed by film-coating.

Bulk Density:

Figure imgf000019_0001
Thickness: 8.2 ± 0.1 (of tablet)

EXAMPLE 4

Darunavir, Dolutegravir and Ritonavir Bilayered Tablet:

Ingredients mg/tab

DARUNAVIR + DOLUTEGRAVIR LAYER

Darunavir Ethanolate 867.296

Dolutegravir sodium 52.622

Mannitol 55.082

Pregelatinized starch 77.000

Povidone 43.000

Purified Water Qs

Lubrication

Sodium stearyl fumarate 11.000

Layer Weight 1106.000

RITONAVIR LAYER

Ritonavir 100.000

Copovidone 400.100

Colloidal silicon dioxide 1.000

Sorbitan monolaurate 42.000

Pre-lubrication Dibasic calcium phosphate anhydrous 50.000

Colloidal silicon dioxide 0.700

Lubrication

Sodium stearyl fumarate 6.150

Layer Weight 600.000

Core Tab weight 1706.000

Film Coated tablet weight 1757.180

Brief manufacturing process:

Preparation of Darunavir + Dolutegravir layer: a) Sifting darunavir, dolutegravir, mannitol and pregelatinized starch and then loading into rapid mixer granulator and mix for 10 minutes, b) dissolving povidone in purified water and adding to the blend of step a) kneading the wet mass, followed by drying, sifting to get the desired size granules, c) sifting sodium stearyl fumarate, d) mixing granules of step b) with sodium stearyl fumarate of step c) into blender and compressing into tablets;

Preparation of Ritonavir layer: a) Sifting ritonavir, copovidone and colloidal silicon dioxide through mesh, b) adding sorbitan monolaurate to step a) and pass the material through hot melt extruder and collect the extrudes, c) sifting dibasic calcium phosphate anhydrous and colloidal silicon dioxide together through mesh, add the material to step b) blending for 10 minutes, d) adding sodium stearyl fumarate to material of step c) and blend for 5 minutes; Compression of bilayered tablets:

Compress the above blends of darunavir + dolutegravir in one layer and ritonavir in another layer into bilayered tablets, followed by film-coating.

Bulk Density:

Figure imgf000021_0001

Thickness: 8.5 ± 0.1 (of tablet)

EXAMPLE 5: Darunavir, Dolutegravir and Ritonavir Bilayered Tablet

Ingredients mg/tab

DARUNAVIR + DOLUTEGRAVIR LAYER

Darunavir Ethanolate 867.296

Dolutegravir sodium 52.622

Mannitol 55.082

Microcrystalline cellulose 44.982

Sodium starch glycolate 57.000

Povidone 43.000

Purified Water Qs

Lubrication

Sodium stearyl fumarate 12.000

Layer Weight 1131.982

RITONAVIR LAYER

Ritonavir 100.000

Copovidone 508.810

Colloidal silicon dioxide 1.000

Sorbitan monolaurate 52.000 Prelubrication

Dibasic calcium phosphate anhydrous 94.750

Colloidal silicon dioxide 0.750

Lubrication

Sodium stearyl fumarate 6.150

Layer Weight 763.460

Core Tab weight 1895.442

Film Coated tablet weight 1952.305

Brief manufacturing process:

Preparation of Darunavir + Dolutegravir layer: a) Sifting darunavir, dolutegravir, mannitol, microcrystalline cellulose and sodium starch glycolate and then load into rapid mixer granulator and mix for 10 minutes, b) dissolving povidone in purified water and add to the blend of step a) knead the wet mass, followed by drying, sifting to get the desired size granules, c) sifting sodium stearyl fumarate, d) mixing granules of step b) with sodium stearyl fumarate of step c) into blender and compressing into tablets;

Preparation of Ritonavir layer: a) Sifting ritonavir, copovidone and colloidal silicon dioxide through mesh, b) adding sorbitan monolaurate to step a) and pass the material through hot melt extruder and collect the extrudes, c) sifting dibasic calcium phosphate anhydrous and colloidal silicon dioxide together through mesh, add the material to step b) blending for 10 minutes, d) adding sodium stearyl fumarate to material of step c) and blend for 5 minutes; Compression of bilayered tablets:

Compression of above ritonavir extrudes with darunavir + dolutegravir layered tablets to obtain bilayered tablets and film-coating the obtained bilayered tablets. Bulk Density:

Figure imgf000023_0001

Thickness: 10.0 ± 0.1 (of tablet), which is not suitable for swallowing thereby, invites patient compliance problems.

Test Results:

Physical parameters:

Figure imgf000023_0002

Above results indicate that thickness of 8.0 ± 0.1 mm to 9.2 ± 0.1 mm shows improved dissolution profile over tablets having thickness of less than 8.0 mm.

Further, it was observed that tablets having thickness of 10.0 ± 0.1 mm and above will pose problems of patient compliance, feeling difficulty in swallowing.

Dissolution profile:

Table A (Test results):

Time in % of drug released

minutes Example 1 Example 2

Darunavir Dolutegravir Ritonavir Darunavir Dolutegravir Ritonavir

30 66 83 26 63 82 59

60 89 92 39 91 89 90 90 94 95 45 97 89 96

120 96 95 48 99 89 98

Table B (Innovator dissolution profiles for plain marketed tablets):

Figure imgf000024_0001

From the results shown in Table A, it was observed that tablets (Example 2) with specific physical parameters of the present invention could produce better dissolution without any delay as compared to example 1.

Drug release for the tablets of the present invention (Example 2) for three active found to be comparable with Innovator product drug release.

Claims

WE CLAIM:
1. A tablet composition comprising (a) a first part comprising combination of darunavir and dolutegravir (b) a second part comprising ritonavir, wherein weight of the first part ranges from 1050 mg - 1250 mg, characterized by bulk density of 0.45 - 0.7 gm/cm and weight of the second part ranges from 600 mg - 750 mg, characterized by bulk density of 0.5 - 0.7 gm/cm , wherein total weight of the tablet ranges from 1650 mg - 2000 mg.
2. The tablet composition according to claim 1 , wherein the first part and second part are in the form of granules.
3. The tablet composition according to claim 1, wherein the parts are compartments or layers.
4. The tablet composition according to claim 1, wherein, darunavir is darunavir ethanolate and dolutegravir is dolutegravir sodium.
5. A caplet comprising 800 mg of darunavir, 50 mg of dolutegravir and 100 mg of ritonavir with one or more pharmaceutically acceptable excipients, wherein caplet is having 8.0 to 9.5 mm in thickness.
6. A caplet according to claim 5, having a length of 15 to 22 mm and width of 7 to 11 mm.
7. The composition of claim 1, wherein darunavir is present in an amount of 800 mg, dolutegravir in an amount of 50 mg and ritonavir in an amount of 100 mg.
8. The tablet composition according to claim 1, is in the form of immediate release bilayered tablet.
9. The tablet composition according to claim 1, wherein the first part is prepared by wet granulation, dry granulation or direct compression and the second part is prepared by hot melt extrusion.
0. A method of treating HIV comprising administering a therapeutically effective amount of the tablet composition as defined in claim 1.
PCT/IB2017/054571 2016-08-08 2017-07-27 Anti-retroviral compositions WO2018029561A1 (en)

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100189783A1 (en) * 2007-07-25 2010-07-29 Guido Franciscus Smans Relating to anti-hiv tablet formulations
US20140037724A1 (en) * 2005-06-13 2014-02-06 Bristol-Myers Squibb & Gilead Sciences, Llc Unitary pharmaceutical dosage form
WO2014184553A1 (en) * 2013-05-15 2014-11-20 Cipla Limited Pharmaceutical antiretroviral compositions
US20150272888A1 (en) * 2008-12-16 2015-10-01 Paladin Labs, Inc. Misuse preventative, controlled release formulation
WO2016016279A1 (en) * 2014-07-29 2016-02-04 Lek Pharmaceuticals D.D. Novel hydrates of dolutegravir sodium
US20160081985A1 (en) * 2013-05-15 2016-03-24 Tobira Therapeutics, Inc. Cenicriviroc compositions and methods of making and using the same

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140037724A1 (en) * 2005-06-13 2014-02-06 Bristol-Myers Squibb & Gilead Sciences, Llc Unitary pharmaceutical dosage form
US20100189783A1 (en) * 2007-07-25 2010-07-29 Guido Franciscus Smans Relating to anti-hiv tablet formulations
US20150272888A1 (en) * 2008-12-16 2015-10-01 Paladin Labs, Inc. Misuse preventative, controlled release formulation
WO2014184553A1 (en) * 2013-05-15 2014-11-20 Cipla Limited Pharmaceutical antiretroviral compositions
US20160081985A1 (en) * 2013-05-15 2016-03-24 Tobira Therapeutics, Inc. Cenicriviroc compositions and methods of making and using the same
WO2016016279A1 (en) * 2014-07-29 2016-02-04 Lek Pharmaceuticals D.D. Novel hydrates of dolutegravir sodium

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